Individual
DR. JEFFREY LEE SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4200 S DOUGLAS AVE STE 306, OKLAHOMA CITY, OK 73109-3215
(405) 636-7195
Mailing address
1132 SW 127TH PL, OKLAHOMA CITY, OK 73170-6950
(405) 703-0743
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4436
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200105640A
—
OK
Enumeration date
07/28/2006
Last updated
02/03/2009
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